Exercise to Support Indigenous Pregnant Women to Stop Smoking: Acceptability to Māori

Objectives Smoking during pregnancy is harmful for the woman and the unborn child, and the harms raise risks for the child going forward. Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māo...

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Veröffentlicht in:Maternal and child health journal 2017-11, Vol.21 (11), p.2040-2051
Hauptverfasser: Roberts, Vaughan, Glover, Marewa, McCowan, Lesley, Walker, Natalie, Ussher, Michael, Heke, Ihirangi, Maddison, Ralph
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container_end_page 2051
container_issue 11
container_start_page 2040
container_title Maternal and child health journal
container_volume 21
creator Roberts, Vaughan
Glover, Marewa
McCowan, Lesley
Walker, Natalie
Ussher, Michael
Heke, Ihirangi
Maddison, Ralph
description Objectives Smoking during pregnancy is harmful for the woman and the unborn child, and the harms raise risks for the child going forward. Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. A number of practical and environmental barriers to attendance were raised including: cost, the timing of the programme, accessibility, transport, and childcare considerations. Conclusions A feasibility study is needed to design an intervention following the suggestions presented in this paper with effort given to minimising the negative impact of barriers to attendance.
doi_str_mv 10.1007/s10995-017-2303-2
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Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. A number of practical and environmental barriers to attendance were raised including: cost, the timing of the programme, accessibility, transport, and childcare considerations. Conclusions A feasibility study is needed to design an intervention following the suggestions presented in this paper with effort given to minimising the negative impact of barriers to attendance.</description><identifier>ISSN: 1092-7875</identifier><identifier>ISSN: 1573-6628</identifier><identifier>EISSN: 1573-6628</identifier><identifier>DOI: 10.1007/s10995-017-2303-2</identifier><identifier>PMID: 28702867</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Attendance ; Child care ; Children ; Cultural values ; Exercise ; Feasibility Studies ; Female ; Focus Groups ; Gynecology ; Health aspects ; Humans ; Indigenous peoples ; Maori (New Zealand people) ; Maoris ; Maternal and Child Health ; Maternal-fetal exchange ; Medicine ; Medicine &amp; Public Health ; New Zealand - epidemiology ; Pediatrics ; Physical fitness ; Population Economics ; Pregnancy ; Pregnant Women - ethnology ; Pregnant Women - psychology ; Public Health ; Qualitative Research ; Smoking ; Smoking - epidemiology ; Smoking - ethnology ; Smoking cessation ; Smoking Cessation - ethnology ; Smoking Cessation - methods ; Smoking Cessation - psychology ; Smoking in pregnancy ; Sociology ; Surveys and Questionnaires ; Tobacco Smoking - adverse effects ; Women</subject><ispartof>Maternal and child health journal, 2017-11, Vol.21 (11), p.2040-2051</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>COPYRIGHT 2017 Springer</rights><rights>Maternal and Child Health Journal is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c551t-b202200ae996b3835c63d3d21863a0efffd580cd10231d29e1fff08a2c3fe3c53</citedby><cites>FETCH-LOGICAL-c551t-b202200ae996b3835c63d3d21863a0efffd580cd10231d29e1fff08a2c3fe3c53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10995-017-2303-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10995-017-2303-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27344,27924,27925,33774,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28702867$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roberts, Vaughan</creatorcontrib><creatorcontrib>Glover, Marewa</creatorcontrib><creatorcontrib>McCowan, Lesley</creatorcontrib><creatorcontrib>Walker, Natalie</creatorcontrib><creatorcontrib>Ussher, Michael</creatorcontrib><creatorcontrib>Heke, Ihirangi</creatorcontrib><creatorcontrib>Maddison, Ralph</creatorcontrib><title>Exercise to Support Indigenous Pregnant Women to Stop Smoking: Acceptability to Māori</title><title>Maternal and child health journal</title><addtitle>Matern Child Health J</addtitle><addtitle>Matern Child Health J</addtitle><description>Objectives Smoking during pregnancy is harmful for the woman and the unborn child, and the harms raise risks for the child going forward. Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. 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Indigenous women often have higher rates of smoking prevalence than non-indigenous. Exercise has been proposed as a strategy to help pregnant smokers to quit. Māori (New Zealand Indigenous) women have high rates of physical activity suggesting that an exercise programme to aid quitting could be an attractive initiative. This study explored attitudes towards an exercise programme to aid smoking cessation for Māori pregnant women. Methods Focus groups with Māori pregnant women, and key stakeholder interviews were conducted. Results Overall, participants were supportive of the idea of a physical activity programme for pregnant Māori smokers to aid smoking cessation. The principal, over-arching finding, consistent across all participants, was the critical need for a Kaupapa Māori approach (designed and run by Māori, for Māori people) for successful programme delivery, whereby Māori cultural values are respected and infused throughout all aspects of the programme. A number of practical and environmental barriers to attendance were raised including: cost, the timing of the programme, accessibility, transport, and childcare considerations. Conclusions A feasibility study is needed to design an intervention following the suggestions presented in this paper with effort given to minimising the negative impact of barriers to attendance.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28702867</pmid><doi>10.1007/s10995-017-2303-2</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerNature Journals; Sociological Abstracts
subjects Adult
Attendance
Child care
Children
Cultural values
Exercise
Feasibility Studies
Female
Focus Groups
Gynecology
Health aspects
Humans
Indigenous peoples
Maori (New Zealand people)
Maoris
Maternal and Child Health
Maternal-fetal exchange
Medicine
Medicine & Public Health
New Zealand - epidemiology
Pediatrics
Physical fitness
Population Economics
Pregnancy
Pregnant Women - ethnology
Pregnant Women - psychology
Public Health
Qualitative Research
Smoking
Smoking - epidemiology
Smoking - ethnology
Smoking cessation
Smoking Cessation - ethnology
Smoking Cessation - methods
Smoking Cessation - psychology
Smoking in pregnancy
Sociology
Surveys and Questionnaires
Tobacco Smoking - adverse effects
Women
title Exercise to Support Indigenous Pregnant Women to Stop Smoking: Acceptability to Māori
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